Tuberous Augmentation. PS Said No Lift/nipple Reduction? (photo)

I have small 34b slightly tuberous breasts. My PS thinks the best idea would be to release the constricted tissue with internal incisions and use under the muscle silicone implants. I am very worried my nipples will be huge! Does it look like I need a lift or nipple reduction as well? I am 24 years old, never had any children and have my surgery scheduled for 2/25. Starting to second guess and freak out!!

Tuberous / tubular breast

February 6th, 2013

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Your deformity is very mild and without physical exam it is hard to see how much release you need. The areolar expansion will be related to implant size. If you are willing to have more extensive scars, a lift is possible but can always be done later after the implants have settled. That may save you significant scars.

Lift or no lift tuberous breast

February 6th, 2013

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By the photos you submitted I think you would benefit from an uplift as well as internal scoring to release the bands. This will correct your nipple complex from remaining low on your breast "mound" and also correct the size of your areolas and help round out the breast.

I would suggest you return to your plastic surgeon and discuss your concerns regarding nipple position, nipple size etc. It is better to discuss it all in advance then wait and possibly be less that fully satisfied.

Breast Augmentation Pictures

TUBEROUS BREASTS

February 6th, 2013

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Thanks for the photos. Your NAC is positioned low on the breast mound, the areolar are large and there is some constriction of the breast tissue in the lower pole. I would recommend a circumareolar lift with areolar reduction, release of the constricted breast tissue and breast augmentation. You will do great. Good luck.

Breast Augmentation and Lift

February 5th, 2013

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I think that most plastic surgeons would recommend a breast augmentation and lift in your situation. However, you appear to be sitting down in the pictures. I would recommend taking pictures standing up, arms at sides, and shoulders relaxed to allow for the best advice to be given. Kenneth Hughes, MD Los Angeles, CA

Tubular Breast

February 5th, 2013

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Sorry, some surgeons use tuberous but it really is tubular as in the breasts look more like tubes. Anyway, you have a very distant form of this. It appears that you have a little bit of constricture of the inner corners of the breasts only. The solution. You'll need areolar reduction because if you don't the areolas will widen even more with the implants. Next, you'll need release of the constrictures, subpectoral implants and finally a periareolar breast lift. Without the breast lift you will have a very unacceptable cosmetic result. Go see a few other surgeons and get a few more opinions.

Tuberous Breast Surgery and Concerns?

February 5th, 2013

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Thank you for the question and pictures.

I would suggest that you share your concerns with your plastic surgeon. I would also suggest that you discuss the position of the nipple/areola complexes on your chest wall; I would be concerned that you may not be happy with the outcome of the plan procedure if breast lifting is not performed.

Again, do not hesitate to ask for additional time with your plastic surgeon to discuss your questions/concerns.

Saggy breasts and areola size change with implants

April 27th, 2013

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Hi,

You need an asymmetric breast lift with an evening out of the breast tissue at the same time. The implants can be placed through these incisions under the muscle (in my opinion) and the areolas adjusted as needed.

You and your ps need to decide on the size of the areolas but equal areolas are important to the final symmetric result.

Tuberous breasts and big areolas

February 9th, 2013

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go hand in hand. You need to really think about your goals and expectations because there are so many options for you. If you want smaller areola (they will stretch slightly with implants) you need an areola reduction and even possible left mastopexy/reduction if you desire similar sizes. Once you know for sure what you want and what scars you are willing to accept, you must let your surgeon know so the right plan can be formulated for you. And under the muscle is fine as long as the 'dual plane' technique is employed.

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a substitute for medical advice you may receive from your physician. If you
have a medical emergency, please call 911. These answers do not constitute
or initiate a patient/doctor relationship.